17-102089t
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SHAH/ANANTH
Project Address: 30016 20TH PL SW
Project Description: New wiring for newly constructed ADU.
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Electrical
Permit #:17 -102089 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 012103 9113
Owner
Applicant
Contractor
VIRAL SHAH
VADIM STRYZHEUSOMEGA ELECTRIC
OMEGA ELECTRIC
30016 20TH PL S
OMEGA ELECTRIC
OMEGAE'855MF (7/6/17)
FEDERAL WAY WA 98023
13337 SE 227TH PL
29643 126TH AVE SE
KENT WA 98042
AUBURN WA 98092
Additional Permit information
Is this an Online or O.T.C. application? .................. Yes
PERMIT EXPIRES Tuesday, 8 May, 2018
Permit Issued on Monday, May 8, 2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
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Washington and the City of Federal Way.
Owner or agent:
v� Date: I, 9. ZO/
FINALED
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THIS CARD IS TO REMAIN ON-SITE 'F
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #:
Project:
17102089 00 Address: 30016 20TH PL SW
APARNA ANANTH FEDERAL WAY WA 98023-3404
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El
UFER Ground (4295)
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
B - Date ) _
Approved
By Date
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
B - Date ) _
Approved
By Date
Approved
Approved
By
Date
By
Date
Bq T "5
Date5__ 12
El Feeders/Sub-panels (4045)
® Rough Electrical (4225)
® Ceiling Cover (4020)
Approved
Approved
Approved
B - Date ) _
By::7A-? CDate g -2 _
By Date
1tt Final - Electrical (4055)
Approved
Date
n Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
PERMIT NUMBER
RECEIVED
MAY 0 8 2017
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
- � o2 0 217 - i L,
ELECTRICAL
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SITE ADDRESS: 300 l 6 �� pt S' U/
SUITE/UNIT/SPACE#
PROJECT VALUATIONASSESSOR'S
TAX/PARCEL #
0v3-ct I �3
CURRENT/PROPOSED USE
$/1-000"
PROJECT NAME
(Tenant or Homeowner Last Name)
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Ala W /Ouse (,(f I'll,, l
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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( Z06) Z ( y - -153 Y
MAILING ADDRESS
30016' �o' PL .Sul
E-MAIL
CITY
STATE
ZIP
FAX
NAME
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- PRIMARY PHONE
( 206 } 71.�f
ELECTRICAL
MAILING ADDRESSE-MAIL
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CITY u
STATEzIP
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FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
loir,c ac SSS M �' 6 IZ04P
FEDERAL WAY BUSINESS LICENSE #
NAME
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PRIMARY PHONE
(ZO6) 77A - 1/Z1'((
APPLICANT
MAILING ADDRESS
Zc?G VE s£
E-MAIL
CITY
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STATE
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ZIP
Wo�Z
FAX
PROJECT CONTACT
NAME
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PRIMARY PHONE
PRIMARY
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I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application. pp
SIGNATURE: ��, DATE �' 0' `
PRINT NAME: X0, d f Yn -01-W 2 8
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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